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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Have Brain Tuberculoma. Brain Lesions, No Seizure Or Headache. Taking Treatment. Weakness, Dizziness. Help

my father is of 56 years and he is suffering from brain tuberculoma but doctors are not sure weather it is brain tb,neurocystosarcosis or brain metastasis .he has two lesions in his brain and is not suffering from any epileptic seizures or severe headache.he is taking anti tubercular treatment and is saying that that day by day he is feeling weak and is suffering for dizzinines .so please help us.(ct of abdomen ,and thorax is also normal)
Fri, 12 Apr 2013
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Neurologist,  's  Response
Hi,



Thank you for posting your query regarding your father's illness.



The only absolute method of finding out the brain disease is a biopsy of the lesion. However, since biopsy requires brain operation, many doctors start TB treatment on empirical basis, as it is common in India and is fully treatable.



You can repeat the MRI of brain in your father. If the lesions have increased in size, a brain biopsy of the lesion may be done to find out the exact cause. Another test that may help is the PET-CT scan of whole body, which is helpful in cases of metastases.



Please get back if you require any additional information.



Best wishes,



Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar

My email: drsudhirkumar@yahoo.com
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Have Brain Tuberculoma. Brain Lesions, No Seizure Or Headache. Taking Treatment. Weakness, Dizziness. Help

Hi, Thank you for posting your query regarding your father s illness. The only absolute method of finding out the brain disease is a biopsy of the lesion. However, since biopsy requires brain operation, many doctors start TB treatment on empirical basis, as it is common in India and is fully treatable. You can repeat the MRI of brain in your father. If the lesions have increased in size, a brain biopsy of the lesion may be done to find out the exact cause. Another test that may help is the PET-CT scan of whole body, which is helpful in cases of metastases. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com